The revalidation process that was suspended during the public health emergency has been restarted. Revalidation dates that are published on the Medicaid Enrolled Provider Listing and those appearing on provider files are estimated dates that may be subject to change based on factors such as a timing lag, updates made to an enrollment file, and the State’s ability to extend the date for certain providers.
Providers should make sure the correspondence address on their enrollment file is current, and providers should not send in a revalidation application until they receive a notice in the mail to do so.
Medicaid enrolled providers are required to revalidate at least every five (5) years and/or upon notification by the Department of Health to do so.
Navigate to your enrollment page by clicking on the appropriate provider link on the Provider Index page
Click on your Provider Type and Complete the Enrollment Form
Complete any additional requirements needed as specified in the "Requirements & Additional Forms" drop down menu.
MAIL TO:
eMedNY PO Box 4603 Rensselaer, NY 12144
For Expedited/Proiorty Mailing, please click here
After submission of the revalidation application and additional required documents, continue to bill as normal. You will not receive a written notice that the revalidation packet was received.
eMedNY does not send any correspondence once a revalidation has been queued for review by the Bureau. There are no timeframes associated with the processing of revalidation applications. Continue to bill NY Medicaid as normal.
If additional information is required to process your revalidation, staff from the Department of Health's Bureau of Provider Enrollment will email the provider using the email address provided as the Applicant's Email Address on the enrollment form, i.e., not the email address in the Corporate Address section.
Once the revalidation is successfully processed, a letter indicating such will be mailed to the correspondence address on the enrollment form. You will be notified in the future when it is time to revalidate again.
Federal regulations require that your Medicaid enrollment be terminated if you fail to revalidate. This means you will no longer be paid for services rendered to, and/or you will no longer be eligible to order, refer, or prescribe for New York State Medicaid recipients.
You may continue to submit claims. There is nothing more you need to do unless DOH contacts you.
To request reinstatement more than 90 days after a termination for failing to revalidate, the provider must complete the enrollment form for their provider type, checking off the reinstatement/reactivation box toward the top, and mail to the eMedNY address on the form. If a provider is reinstated after failing to meet revalidation requiremetns, there may be a gap in enrollment.
12/13/2024
9:30 AM - 10:30 AM
